Individual
ALEXA STERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
161 E MAIN ST, SMITHTOWN, NY 11787-2879
(631) 360-7578
Mailing address
161 E MAIN ST, SMITHTOWN, NY 11787-2879
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
29716
NY
101YS0200X
School Counselor
2543303
NY
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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